Kellan Peck, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL07325600 Issued in NJ

Practice address

707 Alexander Rd
Princeton, NJ 08540-6331

Phone

(609) 987-8100

NPI assigned

Dec 8, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1821951740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 NASSAU ST # 308",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085427005",
            "telephone_number": "609-436-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ALEXANDER RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406331",
            "telephone_number": "609-987-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "KELLAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL07325600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Paul, LCSW
• Pavilions at Forrestal
• Diandra Kathleen Pavlosky, LCSW
• PDP Associates LLC
• Ivy L Pearlstein, APN-C
• Rhea Amruta Peddinti, LAC
• Anne Marie Pellegrino, LAC
• Marissa Nicole Pellegrino, PH.D.
• Peter Phillip Pellegrino, M.D.
• Kaitlyn Amber Cook Pelli, OTR/L

• Clinical Social Worker in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.